Instructions:  Print all pages now and fill out the order form which begins below.

Fax (1-512-388-3974) or mail the order form to LEHLE SEEDS at the address below.

LEHLE SEEDS ORDER FORM
Date _________________________________


Contact Person __________________________________________________________________


Contact Daytime Telephone _______________________________________________________


Contact FAX _____________________________________________________________________


Contact Email ___________________________________________________________________


PAYMENT METHOD

Purchase Order [__]  No. ________________________________________________________
(Important! LEHLE SEEDS must receive a copy of the official institution 
 purchase order with this number before your order will be processed and shipped.)
CREDIT CARD [__] LEHLE SEEDS has partnered with Authorize.net to allow customers 
to securely and conveniently pay their invoices by credit card using a secure 
PCI compliant web portal at Authorize.net.  The process is simple.  LEHLE SEEDS will 
create a summary customer invoice at Authorize.net who in turn will email the customer 
a unique link on the Authorize.net web site to this invoice where they can pay the
summary invoice by credit card.  Once notified by Authorize.net that the invoice has
been paid, LEHLE SEEDS will email the customer our traditional "paid" invoice as an
attached pdf file.  Accepted credit cards are VISA, MASTERCARD, AMERICAN EXPRESS & DISCOVER.

Other Method [__] Describe in comments section below. Must conform to our
terms (see http://www.arabidopsis.com/main/cat/pricing/terms.html).
SHIPPING METHOD - LEHLE SEEDS will pick best way

UPS-(USA & Canada) FEDEX-(Elsewhere)  Exception - Express Mail for seeds to Japan.    

V.A.T. or TAX ID Number _________________________________________________________

SHIPPING ADDRESS (Abbreviate long address. Physical address only; no PO Boxes.)

_________________________________________________________________________________

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TELEPHONE __________________________________FAX__________________________________
CUSTOMS BROKER (Provide name, address, telephone and fax numbers.)
_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________
Can we put [__] freight charges or [__] customs duties or [__] both 

on your [__] FEDEX or [__] UPS account? _________________________________________
BILLING ADDRESS

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TELEPHONE __________________________________FAX__________________________________

LIST ITEMS YOU WANT TO ORDER HERE

#   Quantity   Cat. No.    Description                    Unit Price     Total

1.  _____________________________________________________________________________

2.  _____________________________________________________________________________

3.  _____________________________________________________________________________

4.  _____________________________________________________________________________

5.  _____________________________________________________________________________

6.  _____________________________________________________________________________

7.  _____________________________________________________________________________

Special instructions or comments_________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

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FAX to 1-512-388-3974 or email to sales@arabidopsis.com
or send completed form by postal mail to
LEHLE SEEDS, PO BOX 2366, ROUND ROCK TX 78680-2366 USA